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Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
September, 2001, Vol. 01, Issue 09
It's "Back to School" Time!
By Cliff Korn, BS, LMT, NCTMB
Becoming a massage therapist requires a great deal of preparation, perhaps the most visible and tangible being basic education. In the not-so-distant past, the most common forms of massage education were mentoring and apprenticeship.This is no longer the case; in fact, in many jurisdictions apprenticeship is no longer recognized as valid educational eligibility for the legal right to practice. These days, almost all prospective massage therapists go to school. Jurisdictions no longer recognize the validity of apprenticeship, primarily because the quality of instruction is so difficult to gauge.
How does one equate an apprenticeship to standardized vocational training in a school setting? Vocational schools are almost always under the oversight of a state Department of Education. However, as we all know, massage education is far from "standardized." Without going into the quantity of education required to practice -- that's a discussion for another day -- my concern in this article is the quality of education received by massage therapists entering the field today.
Formal schooling appears to have many benefits over apprenticeship. In a regulated environment, regulating entities should have an easier time verifying eligibility criteria. In an unregulated environment, prospective clients should be able to benefit from the reputation of an institution that graduates many therapists. Prospective students should be able to realize economies of scale from an institution that provides services to many students. A matriculating student should be able to benefit from feedback from multiple instructors and peers. But is formal schooling providing these benefits? If so, why do so many practicing first- and second-year therapists indicate to me that they are pretty good, "in spite of" their schooling? More important to the public, why is it that a given number of schools, all with state Department of Education oversight, will graduate just as many classes with vastly different levels of ability and/or knowledge? Has the business of massage education superceded the duty of massage education: to best prepare a student to be competitive as a practicing therapist? Lastly, why do so many recent graduates complain that they were ill prepared for how incredibly difficult it can be to establish a full-time practice that actually pays the bills?
Let me interject that I am not starting a rant on the sorry state of massage education in the U.S.! There is much superb massage schooling available to the ever-increasing numbers of potential students. What I am saying is that I believe there is much too much disparity in the levels of educational quality within any given state, and certainly among states. I see two causes of this phenomenon. First, precious few instructors of massage therapy have had any formal training in education, other than an in-house qualification program. Second, a massage school that markets effectively can succeed financially without obtaining institutional and/or programmatic accreditation.
The scarcity of experienced teachers is problematic for students and school owners alike. The inability to hire enough individuals capable of meeting appropriate guidelines forces schools to staff positions with less than desirable candidates. In my state, an instructor must possess the following qualifications to teach in a post-secondary private vocational institution:
These qualifications are very similar to those in many other states. While the situation of last year's student being this year's teacher is not as prevalent as it was several years ago, I feel certain that many of today's massage instructors have neither a teaching credential nor five years experience. It is my observation that regulators overseeing post-secondary education tend not place much emphasis on proprietary vocational schoolteacher qualifications.
The lack of ubiquitous school accreditation compounds this problem. I applaud those schoolowners who go the extra mile and spend the extra money to have their institutions and programs accredited by valid accrediting bodies. While there are many unaccredited schools providing superior education, it is my opinion that the accredited schools are those that best:
I find that ill-trained massage therapists are not just a problem to be solved by a free market economy. These therapists are a problem for your practice and my practice. Today's clients walk in the door with expectations they didn't have 10 or 15 years ago. We have made great strides in educating the public on the benefits of massage therapy. A colleague I was speaking to by telephone mentioned that potential clients have the expectation that we, as massage therapists, have viable protocols for the management of muscular dysfunction and can pull from a large tool bag of options to benefit our clients. Even clients booking appointments for the more pampering aspects of our trade frequently present with low back and/or neck issues that need to be addressed before they can relax on the table. Therapists who aren't competitive in ability and provide less- than-expected service can turn clients off massage therapy forever. On the other hand, if they lack the knowledge and ability because they were never taught properly, how much can we blame them?
Kudos to those schools who are solving these problems every day!
Massage Today encourages letters to the editor to discuss matters relating to the publication's content. Letters may be published in a future issue of Massage Today. Please send all correspondence by e-mail to , or by regular mail to the address listed below:
Former editor of Massage Today, Cliff is owner of Windham Health Center Neuromuscular Therapy LLC. He is nationally certified in therapeutic massage & bodywork and is licensed as a massage therapist by the states of New Hampshire and Florida. Cliff is a member of the International Association of Healthcare Practitioners; a professional member and past president of the New Hampshire chapter of the American Massage Therapy Association; a certified member of the Associated Bodywork & Massage Professionals, Inc.; and a past chairman of the board of directors of the National Certification Board for Therapeutic Massage & Bodywork.
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